MARK E BENSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

BENSON

Suffix

Business Name

MARK E BENSON MD

Original Issue Date

07/26/2005

Effective Date

07/26/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008